Voicing Your Concerns: Part Two – Treating Dysphonia

Shouting and screaming?

Hoarse voice?

No voice?

Sore throat?

Does it matter??

Yes! Voice problems in children aren’t well recognised. Read on to find out what causes voice problems, the impact of voice disorders and what happens when you see a speech pathologist (she can help!).

Box Hill Speech Pathology Clinic Voicing Treating Dysphonia Girl Shouting


What’s causing my child’s voice problem?

Many things can cause or contribute to voice problems, including:

  • structural, medical or neurological issues of the respiratory (breathing) system or head and neck
  • misuse or excessive voice use
  • mental or emotional factors
Box Hill Speech Pathology Clinic Voicing Treating Dysphonia Boy Shouting


What’s the impact of a voice disorder?

Like any communication disorder, a voice problem has the potential to affect social, emotional and educational development. Voice disorders may limit your child’s ability to express themselves at home and school or restrict their participation in the classroom, on the playground or sports oval or at home, and reduce future professional opportunities.

Box Hill Speech Pathology Clinic Voicing Treating Dysphonia Children Sore Throat

Our voices are unique and integral to our identity, with an abnormal voice often drawing unwanted attention. Impairments can influence self-esteem, and children may experience sadness, anger and frustration among other emotions.


What will happen when I see a speech pathologist?

  1. Assessment – The speech pathologist will ask questions about your child’s voice problem, how your child uses his voice, your child’s health, milestones, allergies and medications and so on. She will ask about the impact that your child’s voice is having on his participation in home and school life. The clinician will also listen carefully to and analyse your child’s voice during a fun activity.
  2. Intervention – If you and the speech pathologist decide that therapy is appropriate, a combination of direct and indirect approaches will be offered.
Box Hill Speech Pathology Clinic Voicing Treating Dysphonia Sensational Kids Communication

Direct – The speech pathologist teaches your child how to use his voice efficiently and safely, eg. through correct breathing, warming up and cooling down the voicebox, using an ‘easy’ voice.

Indirect – The clinician will discuss with you how to look after your child’s voice (previously called vocal hygiene) and provide good role models for healthy voice use. For example, if your child yells a lot, you might introduce a simple visual volume scale at home and all family members can practise “dialling down” the loudness of their voices to “indoor voice” level. It’s likely that the speech pathologist will involve your child’s teacher to ensure healthy voice use at school too.

Box Hill Speech Pathology Clinic Voicing Treating Dysphonia Boy Reading Out Loud

It’s crucial that home practice is completed regularly. This ensures that your child uses his voice well in the settings where it matters most – childcare/school and home – and not just in the clinic.

Box Hill Speech Pathology Clinic Voicing Treating Dysphonia Happy Kids Jumping for Joy

If you have any concerns about your child’s voice, call 9899 5494 today to book an appointment with our Speech Pathologist, Nicola Anglin, who has a special interest in voice issues.

By Nicola Anglin (Speech Pathologist)



J Voice. 2008 Mar;22(2):197-209. Epub 2007 May 18.

Attitudes of children with dysphonia.

Connor NP1, Cohen SB, Theis SM, Thibeault SL, Heatley DG, Bless DM.



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